About us
10000
Specialists opinion cases completed
20
Supported healthcare organisations
10
Countries of claims reviews experience
Medical Reviews International (MedRev) is a global provider of high quality independent medical reviews and claims management services. We help our clients improve care quality, reduce claims costs and decrease overutilisation / overuse of medical services in addition to clinical claims assessment services.
We have one of the largest international networks of medical specialists and allied health professionals working in a wide range of medical areas. Our specialists provide expert opinions and recommendations based on international standards of care and evidence-based medicine as well as specific practice standards of international healthcare markets.
Our guiding principle is “Optimising Healthcare Outcomes – One Review at a Time”. Accordingly, we leverage our extensive reviewer network, internal clinical expertise and quality assurance processes to provide our clients with clinical recommendations services that improve patient outcomes and optimise claims costs.
Delivering high quality medical reviews has always been the cornerstone of our business; This is practiced daily by our physician
co-founders and a team of experienced healthcare and business executives with extensive knowledge of international clinical practice
patterns and regulations.
With key team members and specialists located in various countries, we service our clients efficiently across time zones and locations.
MedRev International was founded in 2017 by two partners, Dr Lousine Alpern and Nir Kaminer.
Our Offer
Comprehensive Clinical
Review Services
Healthcare organisations face increasing levels of medical claims complexity and mounting claims volumes while costs and pressure on premiums are rising. Fraud, Waste and Abuse of medical services combined with unwarranted variations in healthcare services are impediments to the delivery of high value care. MedRev brings international best practice to local markets by helping our clients reduce overutilisation and making better clinical decisions.
We offer a range of customized medical review services that help our clients reduce their claims costs and proper assessment of disability and accident claims based on medical evidence and specialists’ recommendations.
Our customised medical review services include the
following :
UTILISATION REVIEWS
On-going prospective and retrospective authorisation review service, where specialists review cases for medical appropriateness against international guidelines on an on-going basis. These services aimed at improving healthcare provisioning, decreasing overutilisation and reducing claims costs. Where appropriate our specialists also suggest alternative courses of action. Reviews are completed in a rapid turn-around time, according to our client needs.
FOCUSED CLINICAL AUDITS
Focused audits of selected procedures and/or providers that drives care quality by identifying quality issues and inappropriate care by individual physicians and providers.
SECOND MEDICAL OPINION
Timely and cost-effective review of clinical cases by qualified medical experts. MedRev’s operational process eliminates any potential conflict of interest ensuring truly independent and unbiased second opinion services.
DISABILITY / INJURY REVIEWS
Highly specialised injury and work-related reviews by a team of qualified insurance medicine specialists using the most recent national rules and guidelines for disability reviews.
MEDICAL DIRECTOR SERVICES
In the absence of, or in addition to our clients’ medical teams, an efficient service for obtaining clinical insights for day-to-day complex clinical queries
MEDICAL-LEGAL REVIEWS
Highly specialised service supporting medical-legal case resolution, including expert opinion on negligence, symptoms onset and pre-existing conditions.
Our
unique
value
proposition
of improving
healthcare
provisioning
HIGHEST QUALITY STANDARDS
Quality assurance is paramount to our team’s work and is an integrated part of our services scope
CUSTOMIZED SOLUTIONS
We work closely with our client’s clinical and claims management teams to tailor customisable services to their unique needs and requirements.
STATE OF THE ART ONLINE PORTAL
Advanced proprietary online solution for claims management and analytics in a secure, customised and GDPR compliant manner. Our innovative technology adheres to the strictest security and privacy regulations and is fully customised to meet our client’s needs, including direct integration to internal claims management systems. Furthermore, our portal provides advanced analytics and reporting capabilities that help in analysing providers’ performance and identifying Fraud, Waste and Abuse situations.
LARGEST INTERNATIONAL SPECIALISTS’ NETWORK
Covering all clinical areas, members of our international independent physicians’ network adhere to the strictest quality standards. Our network management processes include recruiting, training, performance scoring and on-going quality monitoring of all panel members
Our Clients
Our clients are healthcare organisations (insurers, third party administrators, law firms, managed care providers and healthcare authorities) representing different markets and healthcare systems, operating under a variety of regulations and in different languages.
Our clients are partners in a process that ultimately brings a change to providers’ behaviour, improves patient outcomes and significantly reduces claims costs. We support client companies with preparation, communication, implementation and on-going support of their claims’ management process and clinical needs.
Our services are flexible and fully customised to meet our client’s unique and changing needs. We pride ourselves in truly partnering with our clients to change and improve the healthcare reality under which they operate internationally.
Our Clients
Our clients are healthcare organisations (insurers, third party administrators, law firms, managed care providers and healthcare authorities) representing different markets and healthcare systems, operating under a variety of regulations and in different languages.
Our clients are partners in a process that ultimately brings a change to providers’ behaviour, improves patient outcomes and significantly reduces claims costs. We support client companies with preparation, communication, implementation and on-going support of their claims’ management process and clinical needs.
Our services are flexible and fully customised to meet our client’s unique and changing needs. We pride ourselves in truly partnering with our clients to change and improve the healthcare reality under which they operate internationally.
MedRev’s Healthcare Nudge approach
Physicians play a unique and central role in medical care. What physicians do and how they render medical services determines the quality and efficiency of healthcare, the wellbeing of patients and the cost of healthcare.
Drawing on a deep familiarity with the medical profession, physicians and providers, MedRev developed a unique “Healthcare Nudge” approach, which is based on Richard Thaler and Cass Sunstein’s 2008 book – “Nudge – Improving Decisions about Health, Wealth and Happiness”.
Combined with several other documented Behavioural Economics principles and supported by referencing evidence-based medicine, MedRev’s Healthcare Nudge approach to claims reviews has a positive impact on providers’ practice and behaviour. This in return leads to a reduction of overutilisation levels, improving patients’ safety and promoting good healthcare practice.
MedRev’s “Healthcare Nudge” approach has a proven impact on improving healthcare quality and reducing claims costs for many international healthcare organisations.
Tangible Benefits : MedRev guarantees a significant claims volume and cost reduction with tangibles benefits, when implementing our Utilisation Management and Focused Clinical Audits services. MedRev’s work leads to measurable operational and financial benefits, which directly impact insurers’ financial viability and reduce the need for premiums increase.
Cost : Due to economies of scale and extensive collaboration with our specialists’ network, we can offer many types of external review services at a very competitive prices, while having internal quality assurance as an embedded component of our services.
Quality : Quality stands at the forefront of our operations. Our reports are of the highest quality, consistency and structure and are fully customised to our clients’ needs.
Variety : MedRev is a one-stop-shop for all areas where a specialist’s input is required and accommodates changing needs and volumes.
SPECIALIST REVIEWERS
The role of the specialist in our network is to provide an objective review of medical cases based on their specific experience, knowledge, consideration of local standards and reference to evidence-based medical literature.
For specialists in all medical fields, we offer a unique opportunity to expand their professional knowledge, get exposure to the newest Evidence Based Literature and increase their income by reviewing clinical cases online with a focus on medical necessity and clinical best practice. Flexible hours and with no certain time or volume commitment.
We offer our reviewers the option to work on interesting international cases. We provide all the necessary background information, local guidelines and support that allows specialists to provide expert opinion on international patient cases as well.
Active specialists in our network enjoy the time and location flexibility of working
with MedRev on interesting international cases and are conducting peer-to-peer
review when requested
If you are interested in learning more about joining our network, please contact us to arrange an initial conversation at [email protected]
Contact Us
Fill out the form below and we will contact you during our working hours.
Medical Reviews International